Action Plan

MH/DD/ILP Program Standards Site Review

 

Agency: SOUND ALTERNATIVES      ADMINISTRATION     11/00

Site Review Team Recommendation

Actions Planned by Agency

Implementation Date(s)

 

 

1.       Request that the hospital develop financial policies in accord with the suggestions of auditors.  (Standard #4)

 

 

 
  1. Write memo to CCMC Administrator and CFO outlining the need for this Policy and requesting completion by April 1, 2001
  2. Secure response from CCMC Administrator that the Financial Policies will be developed.

Memo to be drafted and forwarded to CCMC by January 31, 2001. 

 

Response to this memo forwarded to this source by February 28, 2001.

 

 

 

2.       Develop a policy regarding conflicts of interest for both staff and for the advisory board.  (Standard #10)

 

 

 

 

 

 
  1. Policy regarding Conflicts of Interest within the Center and applying to staff and Board will be drafted within 30 days.
  2. Recommendation to CCMC that Conflict of Interest Policy be drafted for all CCMC staff and Board Members.

Policy to be drafted by January 31, 2001 and to be accepted by the Advisory Board in February with the annual review of the Policy and Procedure Manual.

 

 

 

 

3.       Include cultural diversity issues in the new staff orientation and training.  (Standard #25)

 

 

 

 

 

 
  1. Cultural Diversity is a critical issue in the delivery of services in Alaska.  Training programs on this topic will be identified and staff will attend appropriate training in Cultural Diversity issues relating to MH Service delivery.
  2. Staff will be assigned readings on the topic of Cultural Diversity and in-house discussion/training will be documented.
  1. Appropriate training programs for staff will be identified as soon as possible and staff will be trained as events are identified.
  2. In-house training to begin January 2, 2001.

 

Site Review Team Recommendation

Actions Planned by Agency

Implementation Date(s)

 

 

4.       Expand the goals and objectives for the evaluation period of each staff member to include more than training issues.  (Standard #32)

 

 

 

 

 

Review of the Evaluation Process will begin in February 2001 and be completed by March 30, 2001.  New process and forms will be developed and forwarded to the State for approval.

Process to begin the first of February 2001 and be completed no later than March 30, 2001.